Interpretation of Death Rates Data

Death Rate Report for Iowa by County

Colon & Rectum, 2009 - 2013

All Races (includes Hispanic), Both Sexes, All Ages


Healthy People 2020 Objective Number: C-5
Reduce the colorectal cancer death rate

Sorted by Rate
County
Met Healthy People Objective of 14.5? 1 Age-Adjusted Death Rate
deaths per 100,000
(95% Confidence Interval)
Average Deaths per Year
Recent Trend 2 Recent 5-Year Trend2
in Death Rates
(95% Confidence Interval)
Iowa (State) No 16.4 (15.8, 17.0) 630 falling falling trend -2.2 (-2.5, -2.0)
United States No 15.1 (15.0, 15.2) 51,801 falling falling trend -2.5 (-2.7, -2.3)
Lucas County No 39.6 (26.4, 58.7) 6 ** **
Cass County No 32.0 (22.2, 45.4) 7 stable stable trend 0.8 (-2.1, 3.8)
Greene County No 29.2 (17.9, 46.4) 4 stable stable trend -0.4 (-2.8, 2.2)
Jackson County No 24.9 (17.0, 35.4) 7 stable stable trend -0.2 (-2.7, 2.3)
Page County No 24.6 (15.9, 36.8) 5 stable stable trend 0.1 (-2.3, 2.6)
Harrison County No 23.9 (15.5, 35.9) 5 stable stable trend -1.1 (-3.8, 1.6)
Jefferson County No 23.0 (14.5, 35.1) 5 ** **
Poweshiek County No 21.5 (14.4, 31.5) 6 stable stable trend -1.2 (-3.2, 0.8)
Lee County No 20.9 (15.5, 27.7) 11 falling falling trend -2.4 (-4.0, -0.8)
Mahaska County No 20.6 (13.7, 29.9) 6 stable stable trend -0.8 (-2.8, 1.3)
Plymouth County No 20.5 (13.9, 29.4) 7 stable stable trend -2.4 (-4.7, 0.0)
Jasper County No 20.5 (15.3, 27.1) 11 stable stable trend -0.9 (-2.7, 0.8)
Henry County No 20.4 (13.5, 30.0) 6 stable stable trend -0.7 (-2.7, 1.4)
Wright County No 20.1 (12.1, 32.4) 4 ** **
Buchanan County No 19.9 (12.9, 29.5) 5 stable stable trend -1.7 (-3.6, 0.2)
Buena Vista County No 19.9 (12.4, 30.3) 5 falling falling trend -2.6 (-4.5, -0.5)
Calhoun County No 19.6 (11.6, 32.8) 4 stable stable trend -1.9 (-4.6, 1.0)
Keokuk County No 19.4 (11.4, 32.4) 4 ** **
Allamakee County No 19.4 (11.3, 31.6) 4 ** **
Clinton County No 19.4 (14.9, 25.0) 13 falling falling trend -2.2 (-3.6, -0.9)
Dickinson County No 19.0 (12.3, 28.9) 5 stable stable trend -1.1 (-4.0, 1.8)
Mills County No 18.7 (10.8, 30.7) 3 ** **
Muscatine County No 18.6 (13.4, 25.2) 9 stable stable trend -0.8 (-2.4, 0.8)
Mitchell County No 18.6 (10.9, 31.0) 4 ** **
Marion County No 18.5 (13.1, 25.4) 8 stable stable trend -0.7 (-2.6, 1.2)
Montgomery County No 18.5 (10.8, 31.1) 4 stable stable trend -1.4 (-4.6, 1.9)
Emmet County No 18.5 (10.6, 31.6) 3 stable stable trend 0.5 (-2.1, 3.1)
Sac County No 18.0 (9.7, 32.0) 3 stable stable trend -2.4 (-5.0, 0.2)
Wapello County No 17.7 (12.8, 24.2) 9 falling falling trend -2.7 (-5.0, -0.3)
Hamilton County No 17.6 (10.7, 27.8) 4 ** **
Woodbury County No 17.3 (14.0, 21.2) 19 stable stable trend -1.2 (-2.5, 0.1)
Delaware County No 17.3 (10.6, 27.0) 4 falling falling trend -2.7 (-4.9, -0.6)
Winneshiek County No 17.2 (11.0, 26.1) 5 ** **
Webster County No 16.9 (12.0, 23.2) 8 stable stable trend -1.4 (-3.5, 0.8)
Warren County No 16.8 (12.2, 22.7) 9 stable stable trend -2.0 (-4.3, 0.4)
Clay County No 16.8 (10.4, 26.3) 4 falling falling trend -2.1 (-4.1, -0.1)
Floyd County No 16.7 (10.3, 26.3) 4 stable stable trend -2.1 (-4.7, 0.5)
Pottawattamie County No 16.7 (13.5, 20.5) 19 stable stable trend -0.7 (-2.3, 0.8)
Clayton County No 16.6 (10.7, 25.2) 5 falling falling trend -3.0 (-5.5, -0.4)
Hardin County No 16.5 (10.5, 25.4) 5 falling falling trend -3.4 (-5.6, -1.1)
Fayette County No 16.5 (11.0, 24.3) 6 falling falling trend -3.2 (-5.8, -0.6)
Marshall County No 16.3 (11.7, 22.2) 9 falling falling trend -2.2 (-3.6, -0.8)
Tama County No 16.3 (10.6, 24.7) 5 stable stable trend -0.8 (-3.0, 1.4)
Washington County No 16.2 (10.4, 24.4) 5 stable stable trend -2.6 (-5.4, 0.2)
Carroll County No 16.2 (10.9, 24.0) 6 stable stable trend -2.1 (-4.3, 0.1)
Madison County No 16.2 (9.2, 26.9) 3 stable stable trend -1.9 (-4.3, 0.6)
Scott County No 16.1 (13.5, 18.9) 30 falling falling trend -3.1 (-4.3, -1.9)
Benton County No 16.1 (10.5, 23.8) 5 falling falling trend -3.6 (-5.8, -1.4)
Polk County No 16.0 (14.2, 17.8) 65 falling falling trend -1.6 (-2.2, -0.9)
Jones County No 15.9 (10.1, 24.2) 5 stable stable trend -2.2 (-4.7, 0.3)
Black Hawk County No 15.5 (12.8, 18.6) 24 falling falling trend -2.2 (-3.1, -1.4)
Johnson County No 15.1 (11.8, 18.9) 15 falling falling trend -2.0 (-3.7, -0.3)
Linn County No 14.6 (12.5, 16.9) 35 falling falling trend -3.7 (-4.5, -2.8)
Kossuth County Yes 14.5 (8.5, 24.1) 4 stable stable trend -1.9 (-4.5, 0.6)
Dallas County Yes 14.4 (10.4, 19.4) 9 falling falling trend -2.8 (-4.9, -0.7)
Crawford County Yes 14.2 (8.2, 23.4) 3 falling falling trend -3.5 (-6.1, -0.8)
O'Brien County Yes 14.2 (7.4, 25.2) 3 falling falling trend -3.6 (-5.8, -1.3)
Cerro Gordo County Yes 14.1 (10.2, 19.3) 9 falling falling trend -2.8 (-4.6, -0.9)
Bremer County Yes 13.5 (8.6, 20.7) 5 falling falling trend -3.7 (-5.7, -1.6)
Cedar County Yes 13.4 (7.6, 22.3) 3 stable stable trend -2.4 (-5.5, 0.7)
Iowa County Yes 12.8 (7.2, 21.8) 3 ** **
Boone County Yes 12.4 (7.5, 19.5) 4 falling falling trend -3.5 (-5.9, -1.0)
Story County Yes 12.1 (8.8, 16.3) 9 falling falling trend -3.0 (-4.9, -1.1)
Sioux County Yes 12.1 (7.7, 18.2) 5 falling falling trend -3.5 (-5.6, -1.5)
Butler County Yes 12.1 (7.0, 20.7) 3 falling falling trend -3.0 (-5.6, -0.2)
Des Moines County Yes 11.5 (7.7, 16.7) 6 falling falling trend -4.6 (-6.7, -2.5)
Dubuque County Yes 11.4 (8.9, 14.6) 14 falling falling trend -4.2 (-5.5, -3.0)
Adair County * * 3 or fewer * -4.2 (-5.5, -3.0)
Adams County * * 3 or fewer ** **
Appanoose County * * 3 or fewer * **
Audubon County * * 3 or fewer ** **
Cherokee County * * 3 or fewer * **
Chickasaw County * * 3 or fewer ** **
Clarke County * * 3 or fewer ** **
Davis County * * 3 or fewer ** **
Decatur County * * 3 or fewer ** **
Franklin County * * 3 or fewer * **
Fremont County * * 3 or fewer ** **
Grundy County * * 3 or fewer ** **
Guthrie County * * 3 or fewer * **
Hancock County * * 3 or fewer * **
Howard County * * 3 or fewer * **
Humboldt County * * 3 or fewer ** **
Ida County * * 3 or fewer ** **
Louisa County * * 3 or fewer * **
Lyon County * * 3 or fewer ** **
Monona County * * 3 or fewer ** **
Monroe County * * 3 or fewer ** **
Osceola County * * 3 or fewer ** **
Palo Alto County * * 3 or fewer * **
Pocahontas County * * 3 or fewer ** **
Ringgold County * * 3 or fewer ** **
Shelby County * * 3 or fewer * **
Taylor County * * 3 or fewer ** **
Union County * * 3 or fewer * **
Van Buren County * * 3 or fewer ** **
Wayne County * * 3 or fewer ** **
Winnebago County * * 3 or fewer ** **
Worth County * * 3 or fewer ** **
Notes:
Created by statecancerprofiles.cancer.gov on 07/31/2016 3:24 am.
State Cancer Registries may provide more current or more local data. Data presented on the State Cancer Profiles Web Site may differ from statistics reported by the State Cancer Registries (for more information).

Trend
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.
* Data has been suppressed to ensure confidentiality and stability of rate estimates.
** Data are too sparse to provide stable estimates of annual rates needed to calculate trend.
1 Healthy People 2020 Objectives provided by the Centers for Disease Control and Prevention.
2 The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint Regression Program (Version 4.3.0.0). Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

Source: Death data provided by the National Vital Statistics System public use data file. Death rates calculated by the National Cancer Institute using SEER*Stat. Death rates are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). The Healthy People 2020 goals are based on rates adjusted using different methods but the differences should be minimal. Population counts for denominators are based on Census populations as modified by NCI. The 1969-2014 US Population Data File is used with mortality data.

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